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HomeMy WebLinkAbout30136870 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 PIu permit counter: (714) 647-5800 tnspection Requests: 1ttDl Aeffitnspector Section: (714) 647-5853 mbing Permit #: 3O136870 Pin #: 64049 Project Address: 3705 S Ross St Assessor's Parcel: 410-142-15 Lot 18 Unit: Block:NA Bldg: Tract 6702 Address Range: Historic: No Suite Range: Zoning: R1 Owner: Address: BEN HUANG 3705 S ROSS ST Santa Ana, CA 92707 (949) 378-6972 Fee Type Amount 01116002 51602 Wtr Htr (Res up to 50 gi 20.73 01116002 51600 General Plan Update 20.56 01116002 51602 lssuance 51.26 Qty 1.00 1.00 1.00 Fee $20.73 $20.56 $51.26Phone Tenant Name: Contractor: Address: Fast Water Heater Company 11715 North Creek Pkwy So Bothell, WA 98011 (425) 636-7084Phone State Lic #: 987398 Lic Type: C-36 Bus. Lic #: 319396 Workers' Compensation lnsurance:Carrier: Liberty Mutual Policy #: WC2291464563025 Expires: 1210112016 Building Use: Job Type: Nature of Work: Single Family Dwelling Miscellaneous Plumbing Occupancy: Constr Type: Code: R-3 VB cPc 2013 Notes: Plumbing Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: web_user Date: Date: Date:07t0112016 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance, or if the work authorized on the site by such permit ls suspended or abandoned for a period of 1 80 days after the time the work is commenced. Fee Total: Paid to Date: Balance Due: $92.5s $92.55 $0.00 lnspector MID#: 2016-129819 N/A - No Balance PLUMBING.!NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS O\I'NER BUII.DT:R D}:I,CARA'I'ION I hocby affm undc pmalty of po'jury tha! I u cxmpt from thc ContrsctoE' Licme lrw for thc following reen (56.7031.5 Buinas md Profcsaion Codc)r Any City or County which rcquirc a pcrmit to construct, alto, improvc. dmolish or rcpair ay stsuctuc, prbr to its issumcc, also rcquiro thc applicut for such pcrmit to filc a signcd statmmt thal hc or she b licdscd pwmt to thc prcvisioE of thc Contraclor's Liccmcd law (Chapts 9. Comcncing whh Scction 7000 of Division 3 of the Bsins md PrcfcssionsCodc)orthathcorshciscrcmptthqefrommdth.bsisforthcallcgcdcrmption. AnyviolationofScclionT0Sl,5byany applicantforapdmitsubjetsthc applicanttoacivilpmaltyofootmorethufivchundrcddollus($500). -1, a owtrs of thc prcpcrty. or my mploy€ wilh wag6 6 thcir rclc compruation. will do thc work ad thc structuc is not intadcd or offccd for slc (Sc.7044. Buine od hofesiom Codc: Thc Contractor's Licos Law do6 not apply to m om6 of thc propqty who builds or improvc th@rl ed who doB such wo* himself or hmclf or thrcugh his or ho om cmployce. providc{ that such improvqmts e rct intqrdcd or ofnrcd for eb. I[, holffi. thc boilding or impovmt is pld within onc ]q of@mpLtiolr thc O*ntr Buildq will havc thc hulen ofpoving tha he or shc did not build or imprcvc thc prcpsty for thc purpos of sh). -1, rownq of thc prcpqty, @ cxclBivcly contractirg with liccNcd coftractoE to construct thc prcjcct (Ss. 7044, Buins dd Ptoftsir Codc: Thc Contrrtor's Licosc Law do6 not apply to e ownr of propcrty who buil& or irnprcvB thq@n, ud who contracls for such projcts with a Contraclo(s) lic$cd puE@t to thc Contraclor's Licw larv). -l m cxopt utrdq Satioo-. B. & P.C. forthis ren. Dxte:()wner: WORKERS'COMPENSATTON DECI-I\RATION I hocby affm undo paralty ofpajury onc ofthc following delaratiom: -l havc and will ruintain a Cdificatc of CoMt to Sclflmuc for work6' comJmsalion. r povidcd for by Sction 3700 of thc Labor Codc, for thc pqfomilcc of thc wort for which thc pamit is i$ucd. -l havc and will maintain work6' compeNatiotr iNuancc, 6 rcquired by Setion 3700 of thc l-abor Code. for thc pqfollrucc of thc work for which this pcnnit is i$ucd My workc' compcn$tion imurmcc cmia urd policy numba rc: Policy Numbo: Erpires: -l cdliry lhal in the pqformnce of the work for which this psmit is issued. I shall not mploy my p€mn in any mona rc atobecomcsubjcttothcworkm'compmationlawrofcalifomia,andagrcthaiflshouldbecomesubjcttothc wortm' compcrwtion provisioro of Selion 3700 of lhc txbor Codc, I sh8ll. forthwith comply with thor prcvisiom.. WARNING: Failurc to wuc workm'composation cov@gc is unlawful, md shall subjcct an mploy6 to qiminal pcnaltic md civil fine up to one hundrd thousqnd dollm ($100.000), in addition to lhc cosl of compcmtion, damagc u providcd for thc Setion 3076 of thc Lsbo Codc, intsBt ud artomcy's fc6. LICENSEN CONTRACTOR DECI.ARATION I hcby alfm unda panalty of pcrjury that I m ticas.d udq lrovision of Chaptq 9 (com@cir8 with Setion 7000) of Divisior 3 of thc Buiae md Profciom Codc, ard ny lic@ is in full forcc md cffcrt. Lodq's Addrs: APPLICANT DECLARATION I hq$y aftrn uodq psralty of pajury ooc of thc following deloations: Doolitiotr Pmits-Asbclos Notification Fedtral Rcgulatiotrs (Titlc 40, Pan6) -Rcquircd Ldt6 of Notificaliotr _I cgriry thd thc lbdcEl rcgulatioro rcgrding rbatos roovaluc not applicablc to this prcjet. -l cdiry thd I hEvc rad this application ed statc that thc sbovc information is corecl. I agre to comply with all City and Couty ordinmcB ed Statc kws rclatiDg to buildiog coBtsuclio& and hrcby authorirc repr6otdivB of thb Chy md Couty to otq upo! ttrc abovr m@tioncd prcpcny for iropetion pupos. Appllcrn( or Agst I'crmitcc trf,ilrc I)ale: UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain I nterceptor/ Cla rif ier TOP OUT Waste & Vent Water Piping Gas Pipinq Roof Drain Tub/Shower Test Rouqh Water Heater t/s/re w/43 POOL/SPA Ptrap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool HeateriGas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device Rough Plumbing FinalGas Test Meter Release FINAL q/g/rq 84" /23 Notes, Remarks, Etc. Licffi Cbs:-Licmc Numbq: - Drtc _ Contnclot CONSTRUCTION LENDING ACENCY I hocby affim undo pcnalty of pcrjury thal th6c is a conslruction loding agocy for thc perfomancc of thc work for r.hich this pqmit is issued (Sa. 3097. Civ. C.). Lcnda's Namc: -